Doctor Name: | BARBARA RUTH MCLAIN |
NPI Number: | 1376832022 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 298596 |
Business Practice Address: | 17 E Sir Francis Drake Blvd Larkspur, CA - 949391727 |
Business Phone Number: | 4155265538 |
Business Fax Number: | 4159259557 |
Mailing Address: | 1949 Nicasio Valley Rd, NICASIO |
State: | CA |
Postal Code: | 949469752 |
Phone Number: | 4156626275 |
Fax Number: | |
NPI Enumeration Date: | 04/04/2011 |
NPI Last Update Date: | 04/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 298596 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |